Well I finally made it through...6 months of weight loss study, sleep study, physc & nutriton visit. I did it all!!!!!!! So my fate now rest in the hands of the Insurance Gods........I beg that they will grant me this one request. All of my paperwork will be submitted to insurance on Monday so I hope to have an answer soon. Any ideas on how long it takes for insurace approval? I have Humana EPO in TX.

6 mos weigh loss started 2/13/08 ended 7/16/08

sleep study 3/11/08

physc & nutrition 6/11/08

submitting for insurance approval 07/21/08

received approval ?/??/??

surgery date ?/??/??

Cindy- Thanks I need all the help I can get I'll do a little extra dance for us tonight hopefully we will get our dates soon!!!! *fingers crossed* :biggrin2:

Well I had my pre-surgery lab work done last Thursday 7/31. I finally got my pre-opt dr appt (I had to call them to see what the hold up was). So I go for that Thursday 8/7. I will get my surgery date then so I can't wait. Good Luck to all and I will keep praying and dancing for ya.

I was denied because My BMI wasn't high enough because I lost to much on my 6 month diet I was just at 40 when I started and now from what I understand I have to gain it back so I can qualify for the surgery this seems so counter productive but if history repeats itself without help I'll prob just gain it back over the next few months anyways oh well it'll all be worth it in the end. just seems wrong to have the I have to be healthy person and looking forward to a healthy lifestyle *with some help* and have to gain weight so I can start that healthier lifestyle alright enough with my rant wish me luck :wink2:

I talked to my surgeon's office after I hand delivered my PCP notes on a Wednesday. I was told that either that Friday or Monday they would be submitting to insurance. I waited till the end of this week to call insurance to see if they received it yet.

They tell me that the surgeons office just called Yesterday (thur) to get their fax number. I'm thinkin God here I am sitting just waiting and they havent submitted yet.

Regang30, what are the steps to that dance you did? I really could use a little help here. My paperwork should have been submitted Tuesday afternoon, but when I called Thursday the insrance person said that she hadn't received the notes from my psychiatric evaluation. I called the social worker and he said that he sent everything Tuesday morning. I guess I am just waiting until Monday to call, AGAIN!

The insurance Gods shone down upon me. YESSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSS!

I called while on my cruise Thursday and found out that after the initial denial that they received everything else and I am APPROVED.

Thank you GOD!

Patty

Hi, Wish all who are waiting, hang in there and good luck, :smile: Find something else to deal with (It's the " watched pot never boils" thing) . I too am waiting. I also deal with the local Welfare agencyfor medical authorizations - but NOT dealing with weight loss surgery (I cannot answer ?s on this or Medicaid.) Let me fill you folks in on approval processes-

1)Even the most experienced physician and professional consultants do not always send in everything, with the specific information needed.

2)the Doctor may tell you they will send it in today but may not communicate that to the office manager who sends it in later.

3)Sometimes, without reading the return from the insurance co.(which may request more information) the Doctor's office says it is a denial- please check with the insurance co yourself, if you don't get a letter from the Insurance Co directly.

4) Insurance reviewers change as does medical care. New reviewers or changes in medical care criteria can affect the whole process- esp for needed information and time.

5) remember, every insurance co is different. National companies may vary among different States. State laws, court cases, and State Agency ( i.e. Dept of Health, Dept. of Insurance) regulations can impact insurance companies, too.

So Relax, ( I know it is hard - am there myself ) :redface:Concentrate on you, BE positive - all of you have other things going on in your life and will need to make changes, get supplies/arrangements for the immediate post surgery stage.

I have been approved by my insurance. I just got the call from the Weight Loss Center and she recieved my approval today. And since I didn't necessarily believe her (thought she might be telling me that to keep me from calling anymore LOL) called my insurance and YES I am approved. Thank you lord!

Tomorrow would have been 3 weeks since she said she sent it it (but just last Friday no one at the insurance company had any record of receiving it) and I was gonna call the insurance company later today to harrass them also. But it's done. Now I am calling the actaul surgeon's office to see what days they are scheduling right now. I am also gonna let her know I intend to start the liver shrink diet today so that if they have ANY cancellations they can call me the day before even and I can be there. YEA YEA YEA! I am doing such the happy dance.

To everyone still waiting, good luck and hope you all here about being approved soon!

:)